A Clinical Study of Tinnitus

2021

Aim: This Study of Tinnitus management conducted to compare the efficacy of two drugs namelycaroverine and gingko Biloba in Mahavir institute of medical sciences, Vikarabad over one year.Objective: To describe the results found in a group of people who have undergone treatment withcarvoverine, gingko Biloba,placebo. Method: Using Tchqs Score 90 adult subjects with the complaintof tinnitus and associated symptoms were analyzed with Proper History, Clinical Examination andPure Tone Audiometry and Thcq’s to determine the Degree of Annoyance of the Tinnitus and toAssess Tinnitus Impact on the Quality of Life before and after Treatment. Results: There was asignificant reduction in the degree of annoyance caused by Tinnitus, there was a significantreduction of tinnitus and there was a significant improvement in hearing thresholds, consequently,on the Quality of Life of the respondents after using the caroverine, gingko Biloba. Conclusion: Thisstudy allowed the Verification that the use of...

Indian Journal of Otolaryngology and Head & Neck Surgery, 2011

Tinnitus is a very common complain and affects 7% of population and has been associated with a range of physical and emotional disorders (Hallam et al. in Br J Clin Psychol 27:213-222, 1988). Hence to understand the distress caused by tinnitus and its relationship with the nature of tinnitus so as to suggest the appropriate treatment, there is the need to study the impact of tinnitus of a group of tinnitus sufferers. This study could be done on the basis of verbal description of tinnitus, Audiological measurement of tinnitus and psychological characteristics of tinnitus in terms of distress, anxiety, depression and disturbance of personality, to understand the impact of tinnitus on sufferers. Fifty adults in the age range of 18-60 years with subjective tinnitus with bilateral normal hearing or pure SNHL ranging from mild to moderately severe were selected. An audiological profile of each subject was prepared on the basis of brief case history of subject, otoscopic examination, pure tone audiometry, impedance audiometry, frequency (pitch) and intensity (loudness) of tinnitus. A psychometric profile was developed by using Tinnitus Reaction Questionnaire and Nature of Tinnitus Questionnaire. These questionnaires were translated and adopted in Hindi and Bengali language after appropriate standardization procedure. 60% reported that they do not have any idea regarding probable cause of their tinnitus. 74% subjects of this study reported that there is no fluctuation in the pitch of their tinnitus. However, 68% reported loudness of tinnitus is fluctuating. A weak co-relation has been seen between traditional audiological measures like pitch matching, loudness matching and subject's description of pitch and loudness of tinnitus. There was a significant correlation between the impact of tinnitus and disturbance of sleep caused by it with increase in depression and anger (0.483). However, no significant co-relation was seen between distressed caused by tinnitus and duration of tinnitus (-0.034). The multiple nature/ sounds of tinnitus had far more devastating effects or serious impact on 'tinnitus sufferers' than the single sound/ nature. Gender differences were also found among tinnitus sufferers while assessing the audiological and psychological measures of tinnitus. Female subjects also reported a higher level of emotional reaction with a mean of 35.9 to their tinnitus as compared to males with a mean of 31.7. Tinnitus has resulted in multifold effects/impacts on tinnitus sufferers where it has made them feel unhappy, tense, irritable, depressed, annoyed, distressed and frustrated. It has interfered with their enjoyment, their relaxation, their sleep, and forced them to avoid quiet environmental and social situations. These findings should further help in the overall management of the patient suffering from tinnitus.

The international tinnitus journal, 2012

The perception of tinnitus varies among individuals. The limitations caused by tinnitus are related to psychological factors, mood changes and psychiatric conditions, while other factors related to discomfort caused by tinnitus are being studied. Hearing loss is an important factor for the onset of tinnitus. To evaluate the correlation between the degree of discomfort caused by tinnitus and the hearing loss level. A retrospective study of the patients treated at the Otolaryngology Service of the State University from Campinas for 15 months, using the Visual-Analogue Scale to classify the degree of discomfort by tinnitus. 107 patients were studied and there was no correlation between the degree of annoyance of tinnitus with hearing loss, age, gender, presence of dizziness, of neck pain, headache, changes of the temporomandibular joint, the use of caffeine or excessive intake of carbohydrates. The discomfort was slightly higher in patients without hearing loss and in women. Dizziness,...

International Journal of Health Sciences and Research, 2014

Introduction: Tinnitus is an unwanted auditory perception, with many causes, subjectively and affects the quality of life. It is important to evaluating the quality of life of tinnitus patients and related factors in treatment of tinnitus. The measurements of tinnitus psychoacoustic include pitch, loudness, minimum masking levels and residual inhibition. Aim: To analyze the correlation between hearing threshold, tinnitus pitch and loudness with quality of life of tinnitus patients in Makassar. Methods: This was an analytic observational study with cross sectional design that has been approved by the Ethical Review Health Committee, Faculty of Medicine of Hasanuddin University number UH13070267. One hundred tinnitus patients were measured hearing threshold, tinnitus pitch and loudness by matching test method. The quality of life was assessed by Tinnitus Handicap Inventory (THI) questionnaires. Data was analysed using chi-square test, Kruskal-Wallis and Rank Spearman correlation test. Results: There was a statistically significant correlation (p<0,05) between hearing threshold, tinnitus pitch and loudness with quality of life of tinnitus patients. Tinnitus patient with hearing loss have a poorer quality of life than individuals without hearing loss. High pitch and loudness are more disturb quality of life of tinnitus patients. Conclusion: The results of our study highlight the importance of hearing threshold, tinnitus pitch and loudness as major components effect quality of life of tinnitus patients. The tinnitus psychoacoustic measurement should be a routine examination for tinnitus patients.

Annals of Otology and Neurotology

Introduction Tinnitus is a sound heard in the ears or head that originates from both external and internal sources. Tinnitus epidemiological data are critical for proper assessment and management of tinnitus sufferers. The study’s goal was to determine the prevalence of tinnitus and its characteristics among middle-aged Indian individuals, as there has been no previous research in this area in India. Methods A descriptive cross-sectional study was performed in 273 Indian adult populations ranging in age from 18 to 60 years old, utilizing a random sampling approach and an online survey mode. The SPSS 25.0 software was used to conduct the statistical analysis. The descriptive statistics were used to assess the data, and the chi-square test was used to see whether there was any correlation between the variables. Results Studies related to tinnitus prevalence show larger variability across countries, which may be due to inconsistent research methods used. Our survey found the prevalence...

Majalah Biomorfologi

Highlight:1. Assessment of the patient’s quality of life is used to establish the diagnosis of tinnitus.2. The assessment is performed using several types of questionnaires: Tinnitus Handicap Inventory (THI), Tinnitus and Hearing Survey (THS), Tinnitus Functional Index (TFI) and Tinnitus Primary Function Questionnaire (TPFQ). 3. THI is the questionnaire that has been translated into Indonesian so that it is easier to use in Indonesia.Background: Tinnitus is a symptom with many different causes that can interfere with daily life. The diagnosis of tinnitus can be carried out, starting by examining the history, physical examination, and audiology, and assessing the quality of life of the patient. Assessment of the patient’s quality of life and the severity of tinnitus was carried out using a questionnaire. Objective: This study aimed to explain the frequency of use of several questionnaires to assess the quality of life of patients with tinnitus, including Tinnitus Handicap Inventory (...

The international tinnitus journal, 2012

The aim of the study is to figure out the status of tinnitus management program (TMP) being conducted in India, to estimate the use of different tinnitus management program, to study the role of various professionals involved and document the current practices of audiologist in country. A questionnaire on &quot;tinnitus management survey&quot; was developed and distributed to 150 institutions all over India. The return rate of the Questionnaire was 32.6%, 7 were received from Medical Colleges (MCs) and 42 from speech and hearing clinics (SHCs). Hence, the rates of TMP have not taken up appropriately in the various hospitals and clinics as yet. 71.4% SHCs have the provision of TMP, 74.28% of the institutes have less than 50% of the patients improving with the TMP, involving Audiologists in 62.85% of the institutes. 54.28% of the institutes opted for Tinnitus Masking out of the various tinnitus management programs. Outside funding for TMP was not received by 91.42% of the institutes. ...

Structured Abstract Objectives: A review was undertaken to evaluate the peer-reviewed literature on three areas of tinnitus management for the following Key Questions (KQs): (1) measures used to assess patients for management needs (KQ1); (2) effectiveness of treatments (KQ2); and (3) identification of prognostic factors (KQ3). Data sources: MEDLINE®, Embase®, CINAHL®, PsycINFO®, AMED©, and Cochrane CENTRAL were searched from January 1970 to June 2012. An extensive grey literature search, which included documents from regulatory and tinnitus-related organizations, was also undertaken. Review methods: Standardized systematic review methodology was employed. Eligibility criteria included English-language studies of adults with subjective idiopathic (nonpulsatile) tinnitus; excluded studies involved tinnitus as the result of middle ear pathologies or focused on methods to determine psychosomatic tinnitus. For KQ2, all pharmacological/food supplement, medical/surgical, sound/technologic...

IRJPMS, 2023

Introduction: Chronic tinnitus is a prevalent condition that causes distress to at least 10-15% of the adult population which directly affects the quality of life and is commonly associated with anxiety and depression. Gingko biloba, a well-known herbal medicine exhibits antiinflammatory, antioxidant, neurotransmitter regulation and vasomotor activity, increases disturbed microcirculatory blood flow. Caroverine is a glutamate receptor antagonist and also reduces the excitability of the nerve cell function.it is postulated that caroverine blocks both NMDA and AMPA induced firing. Objective: To study the effect of oral caroverine versus oral gingko biloba in the treatment of tinnitus patients. Method: A total 80 selected patients of tinnitus, without any medical or surgical co-morbidity, were included in the study and divided randomly in two groups, one group receiving 120mg of Gingko biloba and the other group receiving 60mg Caroverine. Both the groups were followed up for 3 months. Treatment outcomes were measured in terms of improvement in subjective symptoms (tinnitus functional index) and objective measure (tinnitus pitch matching and loudness). Result: Both groups showed improvement in tinnitus function index scores, tinnitus pitch matching and loudness at the end of 3 months. Conclusion: Both Gingko biloba and Caroverine are found to be an effective treatment for tinnitus and is also readily available in the market, cost effective and free of side effects as well.

Acta …, 2012

Tinnitus represents one of the most frequent symptoms observed in the general population in association with different pathologies, although often its etiology remains unclear. Objective of this work is to evidence the main aspects concerning epidemiology, causes, audiological characteristics and psychological consequences of tinnitus.